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Individual

DR. MARY JOANN LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, ABPB, BCBA

Contact information

Practice address
588 N GLASSELL ST, ORANGE, CA 92867-6748
(714) 288-4200
(714) 288-4204
Mailing address
588 N GLASSELL ST, ORANGE, CA 92867-6748
(714) 288-4200
(714) 288-4204

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
103TC0700X
Clinical Psychologist
12076
CA

Other

Enumeration date
05/08/2008
Last updated
05/08/2008
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